Disparities in Service Use and Expenditures for People With Intellectual and Developmental Disabilities in California in 2005 and 2013

Intellect Dev Disabil. 2016 Feb;54(1):1-18. doi: 10.1352/1934-9556-54.1.1.

Abstract

This study examined service use and expenditures for people with intellectual and developmental disabilities (IDD) living at home and in the community in California in 2005 and 2013. The number of people assessed for IDD services increased, along with the percentage of individuals who did not receive any services between 2005 and 2013. Controlling for client needs, children age 3-21 were less likely than other age groups to receive any services using logistic regressions. All racial and ethnic minority groups were less likely to receive any services than were white populations. Females, younger people, and all racial and ethnic minority groups who received services had significantly lower expenditures, with wide geographic variations. The disparities by age, gender, race/ethnicity, and geography have persisted over time in California.

Keywords: California; disparities; expenditures; intellectual and developmental disabilities; service use.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • California
  • Child
  • Child, Preschool
  • Community Health Services / economics
  • Community Health Services / statistics & numerical data
  • Developmental Disabilities / economics*
  • Developmental Disabilities / epidemiology
  • Female
  • Health Expenditures / statistics & numerical data
  • Health Services Needs and Demand / statistics & numerical data
  • Healthcare Disparities / economics*
  • Healthcare Disparities / statistics & numerical data*
  • Home Care Services / economics
  • Home Care Services / statistics & numerical data
  • Humans
  • Intellectual Disability / economics*
  • Intellectual Disability / epidemiology
  • Male
  • Middle Aged
  • Young Adult